Individual provider Active NPI

Antoine Antoine Salameh, DC

  • Nutrition Chiropractor
  • Norwood, MA
National Provider Identifier
1225274699
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3207 Issued in MA
Practice address
470 Washington St Ste 2
Norwood, MA 02062-2343
Phone
(678) 862-6262
NPI assigned
Jan 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 3207 MA
Nutrition Chiropractor 111NN1001X 3207 MA Primary

Addresses

Primary practice location

470 Washington St Ste 2
Norwood, MA 02062-2343

Mailing address

470 Washington St Ste 2
Norwood, MA 02062-2343
Phone (678) 862-6262

Other names 1

  • Tony Antoine Salameh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001092 FL Practitioner - Chiropractic 3779621719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 N Macarthur Ave
Panama City, FL 32401-3636
Phone (850) 785-9372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3207MAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Clinic of Chiropractic LLC CurrentSince Nov 15, 2012 Accepting new patients

Locations

1613 Saint Andrews Blvd
Panama City, FL 32405
Phone (850) 785-9372

520 N MacArthur Ave
Panama City, FL 32401
Phone (850) 747-6591

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1225274699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WASHINGTON ST STE 2",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622343",
            "telephone_number": "678-862-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WASHINGTON ST STE 2",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622343",
            "telephone_number": "678-862-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMEH",
        "first_name": "ANTOINE",
        "middle_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MA",
            "license": "3207",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MA",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "SALAMEH",
            "middle_name": "ANTOINE",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.